NPI 1093116998
Omaha Countryhouse LLC
Practice location
- Address
- 5030 S 155th St, Omaha, NE 68137-5002
- Phone
- (402) 964-2060
Authorised official
- Name
- Stacy L Randels
- Title
- Vp
- Phone
- (531) 800-3364
Registered specialties
Alzheimer Center (Dementia Center)
Primary
Registry record
- NPI
- 1093116998
- Entity type
- Organization
- NPI issued
- 10 Sep 2014
- Record last updated
- 22 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.